{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:17:25Z","timestamp":1761059845292},"reference-count":0,"publisher":"American Diabetes Association","issue":"3","content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[1970,3,1]]},"abstract":"<jats:p>One hundred and seventy-eight lower extremity amputations performed on 103 diabetic patients were reviewed. Although the healing rate for the above-the-knee amputation was higher, the probability of prosthetic use and ambulation was greater with the mid-leg amputation, particularly if the patient required bilateral amputation. Late breakdown of the mid-leg stump, once healing had occurred, was not a significant problem. We feel that the proper amputation level is bestdetermined by the skin temperature and appearance at the proposed amputation site rather than rigid reliance on the presence of pulses, oscillometry, or arteriography and that every effort should be directed to retaining a functioning knee.<\/jats:p>","DOI":"10.2337\/diab.19.3.189","type":"journal-article","created":{"date-parts":[[2014,12,11]],"date-time":"2014-12-11T05:58:24Z","timestamp":1418277504000},"page":"189-195","update-policy":"http:\/\/dx.doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":62,"title":["Lower Extremity Amputation in Diabetic Patients"],"prefix":"10.2337","volume":"19","author":[{"given":"Malcolm L","family":"Ecker","sequence":"first","affiliation":[{"name":"Orthopaedic Service-Bronx Veterans Administration Hospital and The Hospital for Special Surgery, affiliated with New York Hospital-Cornell University Medical Center\u2008New York City"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernard S","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Orthopaedic Service-Bronx Veterans Administration Hospital and The Hospital for Special Surgery, affiliated with New York Hospital-Cornell University Medical Center\u2008New York City"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1167","container-title":["Diabetes"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.org\/diabetes\/diabetes\/article-pdf\/19\/3\/189\/345468\/19-3-189.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/diabetesjournals.org\/diabetes\/article-pdf\/19\/3\/189\/345468\/19-3-189.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T16:16:50Z","timestamp":1667405810000},"score":1,"resource":{"primary":{"URL":"https:\/\/diabetesjournals.org\/diabetes\/article\/19\/3\/189\/3249\/Lower-Extremity-Amputation-in-Diabetic-Patients"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1970,3,1]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1970,3,1]]}},"URL":"https:\/\/doi.org\/10.2337\/diab.19.3.189","relation":{},"ISSN":["0012-1797","1939-327X"],"issn-type":[{"value":"0012-1797","type":"print"},{"value":"1939-327X","type":"electronic"}],"subject":[],"published":{"date-parts":[[1970,3,1]]}}}